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58 Possible Causes for Electrocardiogram Change, Inverted P Wave

  • Atrial Bigeminy

    P wave with a PRI 120ms.[app.figure1.com] Electrocardiogram (ECG) findings of the patient showed multiple VPCs more than 8 per min, often in bigeminy with no ST–T changes.[karnatakaanaesthj.org] This is visible on the ECG as an inverted P wave (“ retrograde P wave “), usually occurring after the QRS complex.[lifeinthefastlane.com]

  • Cardiomyopathy

    There are some signs of left atrial enlargement — leftward deviation of the P wave axis (positive P waves in I and aVL, inverted in III and aVF) and prolongation of the terminal[lifeinthefastlane.com] The electrocardiogram pattern significantly changed with time, and the echocardiogram showed weakness of wall motion around the left ventricular apex.[ncbi.nlm.nih.gov] Changes on your heart tracing (electrocardiogram, or ECG) - this is a tracing of the electrical activity of the heart. Changes on your chest X-ray.[patient.info]

  • Premature Atrial Contractions

    wave is abnormal Premature (earlier than expected) Morphology different than normal P wave Inverted P wave suggests atrial source near AV junction Nearly normal P waves suggest[fprmed.com] PACS arising close to the AV node (“low atrial” ectopics) activate the atria retrogradely, producing an inverted P wave with a relatively short PR interval 120 ms (PR interval[lifeinthefastlane.com] However, the P wave is different from the sinus P waves.[aibolita.com]

  • Paroxysmal Supraventricular Tachycardia

    Most patients present with palpitations and dizziness, and their electrocardiogram demonstrates a narrow QRS complex and regular tachycardia with hidden or inverted P waves[ncbi.nlm.nih.gov] P waves in leads II, III, aVF, V 3 -V 6 Rare: References: [1] [3] [4] Pathophysiology AVRT Do not confuse atrioventricular reentrant (or reciprocating) tachycardia ( AVRT[amboss.com] […] impulse is conducted in a retrograde fashion from the ventricles to the atria by a concealed accessory pathway orthodromic AVRT ECG : similar to orthodromic AVRT but with inverted[amboss.com]

  • Acute Atrial Infarction

    Findings: General EKG Changes suggestive of Coronary Ischemia Electrocardiogram may be completely normal ST Elevation or ST depression Over 1 mm ST changes that are transient[fpnotebook.com] Documentation: Liu et al listed changes in the electrocardiogram associated with atrial infarction.[meducator3.net] A quantitative evaluation of ST-segment changes on the 18-lead electrocardiogram during acute coronary occlusions. J Electrocardiol. 2006 Jul;39(3):275-81.[en.ecgpedia.org]

  • Supraventricular Tachycardia

    Inverted P waves are sometimes seen after the QRS complex. These are called retrograde p waves.[acls-algorithms.com] waves may be non-identifiable, especially when the ventricular rate is high If P waves are present, they will likely be inverted in leads II, III, and aVf QRS complex duration[medictests.com] […] in infants and 180 bpm in children Non-variable R-R waves The rhythm will be consistently regular (because associated AV block is extremely rare in infants/children) The P[medictests.com]

  • Anomalies of Coronary Artery Origin

    The X-ray may show changes in the lungs because of extra blood flow. Electrocardiogram (ECG) An ECG records the electrical activity of the heart.[stlouischildrens.org] The electrocardiogram (ECG) of patients with ALCAPA usually shows typical signs of anterolateral myocardial infarction in 55-80% while ECG changes in infancy have also been[omicsonline.org]

  • Atrial Arrhythmia

    Other side effects of clozapine such as orthostatic hypotension, sinus tachycardia, heart failure, and electrocardiogram changes are well known ( 60 ).[onlinejacc.org]

  • Lown-Ganong-Levine Syndrome

    The criteria include a normal or inverted P wave, a short PR interval less than or equal to 0.12 second (120 ms), with normal QRS complex duration, the absence of a delta[symptoma.com] Diagnostic criteria include PR interval of no more than 120 ms, normal QRS complex duration, a normal or inverted P wave, and paroxysmal supraventricular tachycardia (PSVT[patient.co.uk] She was euthyroid; ECG revealed regular rhythm with inverted P waves, short PR interval, absent delta waves with normal QRS morphology ( Figure 1 ).[ncbi.nlm.nih.gov]

  • Wolff-Parkinson-White Syndrome

    Therefore, a circuit is established, being seen as a tachycardia, with normal QRS but with inverted P waves (because of retrograde atrial activation).[web.archive.org] The mechanism of the electrocardiogram changes was considered to be caused by the two drugs synergistic sodium channel blocking effects.[ncbi.nlm.nih.gov] Immediately following this, her rhythm changed to wide QRS irregular tachycardia without hemodynamic compromise.[ncbi.nlm.nih.gov]

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